BACKGROUND Vietnam has achieved great improvements in maternal healthcare outcomes, but there is evidence of increasing inequity. Disadvantaged groups, predominantly ethnic minorities and people living in remote mountainous areas, do not gain access to maternal health improvements despite targeted efforts from policymakers. OBJECTIVE This study identifies underlying structural barriers to equ...

GENERAL practice primary care teams are taking more lJresponsibility for preventive medicine and there is evidence that patients welcome health promotion activities on the part of their general practitioner. ' Already, in some districts, as little as 5% of pre-school child health services are provided by clinical medical officers2 and, although opinions about this vary, there is general agreeme...

BACKGROUND In 2009, the Chinese Central Communist Party and the China State Council started to implement comprehensive healthcare reforms. The first round of reforms, involving Anhui province, was from 2009 to 2011, and focused on primary healthcare institutions. This study conducts an initial assessment of the effects of specific parts of the reforms in Anhui. METHODS Mixed quantitative and ...

BACKGROUND There is an increased interest in improving the physical health of people with mental illness. Little is known about implementing health promotion interventions in adult mental health organisations where many users also have physical health problems. The literature suggests that contextual factors are important for implementation in community settings. This study focused on the chang...

objective: to explore the context, experiences and pathways of seeking abortion care among married women in a minority dominated urban slum community in mumbai city of india. materials and methods: a mixed-method study was conducted using a systematic random sampling method to select 282 respondents from the slum community. one fifth of these womenreported undergoing at least one induced aborti...

Reflecting on the current reorganization of the relationship between the state and civil society, the health care field is involved in an intense debate over the organization and use of government and private health services. The authors propose an alternative, consisting of the implementation of primary health care clinics, managed by local institutions and funded by the Unified Health System....

The effectiveness of community health workers (CHWs) as health educators and health promoters among Latino populations is widely recognized. The Affordable Care Act created important opportunities to increase the role of CHWs in preventive health. This article describes the implementation of CHW-led, culturally specific, faith-based program to increase physical activity among churchgoing Latina...

BACKGROUND Many experts believe that the "health houses" of Iran have had major effects in increasing health status of Iranian rural community. One of the factors, which was critical to this success is the employment of young women and men from rural communities who serve as multipurpose health workers. They participate in a two-year task-oriented training course. OBJECTIVES The purpose of th...

Planning and evaluation of health services would bevefit from an increased ability to relame health needs to health measures effective to meet these needs. In 1968.69 studies were made in India and Turkey which attempted to develop a framework using well defined health functions to link needs arid services. An important fea­ ture of these studies was the functional analysis of health services a...